Hailey Brown, NP

Individual provider Active NPI Family Nurse Practitioner · Marshfield, MO

NPI 1013591478 · NPPES record last updated May 11, 2021

Key facts

NPI
1013591478
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
2021011350 (MO)
Practice address
1166 Banning St
Marshfield, MO 65706-1015
Phone
(417) 859-2400
NPI assigned
May 11, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2021011350MOMDFamily Nurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2021011350 MO Yes

Addresses

Primary practice location

1166 Banning St
Marshfield, MO 65706-1015

Mailing address

440 E Tampa St
Springfield, MO 65806-1131
Phone (417) 851-1551

Other providers in Marshfield, MO

All providers in Marshfield, MO · Family Nurse Practitioner in Missouri

Sources for this page

Verify at the official NPI Registry.